NPI | 1548914450 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE AYALA Medical Director 786-301-4903 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2022-02-09 |
Last Update Date | 2023-04-20 |